NICOLE THERESE PANEQUE - Occupational Therapist License in Illinois | # 056010290

NICOLE THERESE PANEQUE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010290

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

THERESE

Last Name

PANEQUE

Business Name

NICOLE THERESE PANEQUE

Original Issue Date

09/10/2013

Effective Date

12/04/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/18/2022